Individual
MR. KEITH DEVILLIERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1021 THALIA ST, NEW ORLEANS, LA 70130-4134
(063) 816-2004
Mailing address
1021 THALIA ST, NEW ORLEANS, LA 70130-4134
(063) 816-2004
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
621
LA
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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